Distribution and prevalence of refractive error in Iranian adult population results of the PERSIAN eye cohort study PECS.

Autor: Alipour F; Translational Ophthalmology Research Center, Farabi Eye Hospital, Department of Ophthalmology, Tehran University of Medical Sciences, Ghazvin Sq., Kargar St., Tehran, 1336616351, Iran., Mohammadzadeh M; Translational Ophthalmology Research Center, Farabi Eye Hospital, Department of Ophthalmology, Tehran University of Medical Sciences, Ghazvin Sq., Kargar St., Tehran, 1336616351, Iran., Jafari F; Translational Ophthalmology Research Center, Farabi Eye Hospital, Department of Ophthalmology, Tehran University of Medical Sciences, Ghazvin Sq., Kargar St., Tehran, 1336616351, Iran., Lashay A; Translational Ophthalmology Research Center, Farabi Eye Hospital, Department of Ophthalmology, Tehran University of Medical Sciences, Ghazvin Sq., Kargar St., Tehran, 1336616351, Iran. alirezalashay3601@gmail.com., Yaseri M; Tehran University of Medical Sciences, Tehran, Iran., Motamed-Gorji N; Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran., Alizadeh Y; Eye Research Center, Guilan University of Medical Sciences, Rasht, Iran., Soleimani M; Department of Ophthalmology, Rafsanjan University of Medical Sciences, Rafsanjan, Iran., Mirzaei M; Department of Ophthalmology, Nikoukari Eye Hospital, Medical School, Tabriz University of Medical Sciences, Tabriz, Iran., Shahraki K; Department of Ophthalmology Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran., Salimpour S; Geriatric Ophthalmology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran., Shoja MR; Geriatric Ophthalmology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran., Khataminia G; Department of Ophthalmology, Jundishapur University of Medical Sciences, Ahvaz, Iran., Tahkor A; Health Promotion Research Center, Zahedan University of Medical Science, Zahedan, Iran., Tavakoli R; Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran., Somi MH; Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran., Mansour-Ghanaei F; Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran., Joukar F; Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran., Ansari-Moghaddam A; Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran., Saki N; Department of Otolaryngology, Head & Neck Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Hashemi H; Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Jun 24; Vol. 14 (1), pp. 14515. Date of Electronic Publication: 2024 Jun 24.
DOI: 10.1038/s41598-024-65328-2
Abstrakt: The Persian Eye Cohort Study, a population-based cross-sectional study from 2015 to 2020, examined refractive error prevalence among 48,618 Iranian adults aged 31 to 70. The study encompassed six centers in Iran, employing random cluster sampling for demographic, medical, and socioeconomic data collection through interviews. Ophthalmic exams included visual acuity, automated and manual objective refraction, subjective refraction, slit lamp, and fundus examinations. Using the spherical equivalent definition, the sample population was categorized into groups. Results indicated a mean age of 49.52 ± 9.31 and a mean refractive error of 0.26 diopters (D) ± 1.6 SD (95% CI - 0.27 to -0.24), ranging from -26.1 to + 18.5 SD. Prevalence of myopia (< -0.5D) and hyperopia (> + 0.5D) was 22.6% (95% CI 22.2-23%) and 12.5% (95% CI 12.1-12.8%), respectively. Regarding different age groups, the prevalence of hyperopia and astigmatism exhibited a steady and significant rise with increasing age (p-value < 0.001 for both). The prevalence of Myopia, however, showed a distinctive pattern, initially increasing in adults under 45, declining in those aged 55-64, and rising again among individuals aged 60 and older. Female gender, older age, urban residency, higher education, higher income, and Fars ethnicity were significantly related to a higher prevalence of myopia (p-value < 0.001 for all). Female gender (p-value < 0.001), aging (p-value < 0.001), urban residency (p-value = 0.029), and lower-income (p-value = 0.005) were significantly related to higher prevalence of hyperopia. Astigmatism (> 1D) was prevalent in 25.5% of participants (95% CI 25.1-25.9%) and correlated with male gender, aging, urban residency, illiteracy, and higher income (p-value < 0.001, < 0.001, < 0.001, < 0.001, 0.014, respectively). The study's comparison with regional and international surveys highlighted the increase in myopia among those over 65 due to higher nuclear cataract rates in older adults. Myopia positively related to education, income, and urban residency, while hyperopia did not exhibit such associations.
(© 2024. The Author(s).)
Databáze: MEDLINE
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